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Nursing HomeMedicaid

First Care Living Center

Strong Medicare quality ratings; families often praise facility is recognized as a local health living center. Still worth an in-person visit.

900 Hilligoss Boulevard Southeast, Fosston, MN 5654250 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 3 Google reviews

First Care Living Center Nursing Home in Fosston, MN — Street View
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What this means for your family

Given the lack of detailed positive feedback and the serious allegation regarding lost personal property, families should exercise caution. We recommend scheduling an in-person tour to specifically ask about their protocols for tracking and securing resident belongings.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.48hrs
OK
Registered nurses for medical care
Total Nursing
5.26hrs
OK
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
30%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MN
4.3%
Polk
3.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
19.5%
MN
12.5%
Polk
21.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.9%
Mixed vs Avgs
Here
16.9%
US
15.5%
MN
17.0%
Polk
11.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
93.4%
MN
97.3%
Polk
96.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.0%
Mixed vs Avgs
Here
24.0%
US
19.4%
MN
24.5%
Polk
19.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MN
96.1%
Polk
96.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.1%
Worse than Avg
Here
78.1%
US
81.8%
MN
88.3%
Polk
90.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (8.0)
1 complaint-triggered
$88,726 in fines

Families have filed complaints about accident hazards and safety supervision, with these issues recurring across multiple surveys from 2023 to 2024. The facility shows persistent problems with fire safety systems, infection control, and care planning that appear across all five inspections. While all deficiencies have correction dates, the repeated nature of safety concerns and complaint-triggered violations suggests ongoing challenges with maintaining consistent care standards.

Jul 30, 2025Routine
16
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jun 6, 2024Routine
3
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0373Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have enough space near smoke barriers to protect residents.

Apr 26, 2024Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 17, 2023Routine
10
0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Federal Penalties

Fine

Apr 26, 2024

$14,433

Ownership & Operations

Who Operates This Facility

Owner / Operator

First Care Living Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Essentia Health

Chain Size

6 facilities nationwide

Chain avg rating: 3.8/5 · Rank 4 of 5

Ownership & Management

Key personnel

Christensen, JamesOfficer / DirectorHaugen, JoelOfficer / DirectorHeilman, TimOfficer / DirectorHorn, BeverlyOfficer / DirectorJackson, AarickOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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